Jared Samuel Dickerson PHARMD

NPI 1669756417 - Pharmacist - 183500000X

NPI Details
NPI 1669756417
Gender Male
Enumeration Date 09/28/2011
Last Updated 09/28/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3725 RIVERS AVE
SUITE 2
N CHARLESTON SC, 29405-7038, US
Phone (843) 745-8655
Fax
Business Location
415 PARKDALE DR
APT 15D
CHARLESTON SC, 29414-4910, US
Phone (864) 353-3943
Fax
Toxanomy
Taxonomy Code 183500000X
License State South Carolina
License Number 13529
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According to our database, Dr. Jared Samuel Dickerson PHARMD NPI is 1669756417, taxonomy code is 183500000X and license number is 13529, license state is located at South Carolina. Jared Samuel Dickerson PHARMD physically located at 3725 Rivers Ave, N Charleston SC, 29405-7038. NPI Number Jared Samuel Dickerson PHARMD has the Individual type.

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1669756417 NPI number is provided on an as is basis without warranty of any kind. 1669756417 is maintained by the National Plan & Provider Enumeration System. The contents of Jared Samuel Dickerson PHARMD are for informational purposes only.